Provider Demographics
NPI:1497037311
Name:RECKELHOFF, ANNE KATHRYN (OT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:KATHRYN
Last Name:RECKELHOFF
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 VOGEL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-7814
Mailing Address - Country:US
Mailing Address - Phone:812-437-7868
Mailing Address - Fax:812-437-7228
Practice Address - Street 1:5236 VOGEL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7814
Practice Address - Country:US
Practice Address - Phone:812-437-7868
Practice Address - Fax:812-437-7228
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000458A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist